Individual provider Active NPI

Jenna Aquilino, PA-C

  • Medical Physician Assistant
  • Mechanicsburg, PA
National Provider Identifier
1659004323
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063729 Issued in PA
Practice address
950 Woodland St
Mechanicsburg, PA 17055-4373
Phone
(717) 988-8020
Fax
(717) 221-5567
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063729 PA
Medical Physician Assistant 363AM0700X MA063729 PA Primary

Addresses

Primary practice location

950 Woodland St
Mechanicsburg, PA 17055-4373

Mailing address

950 Woodland St
Mechanicsburg, PA 17055-4373
Phone (717) 988-8020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaquilino227890@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817002983 PA Practitioner - Physician Assistant 3072996453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lu Plastic and Reconstructive Surgery LLCGroup PAC ID 6103361951, 2 clinicians

Practice addresses (Care Compare)

1407 Summit Way
Mechanicsburg, PA 17050-2882
Phone (717) 988-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2022 Accepting new patients
Lu Plastic and Reconstructive Surgery LLC CurrentSince Dec 31, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2022 Accepting new patients

Locations

41 Eastgate Dr
Ste 200
Carlisle, PA 17015
Phone (717) 905-4320

41 Eastgate Dr
Ste B
Carlisle, PA 17015

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

950 Woodland St
Mechanicsburg, PA 17055
Phone (717) 766-0500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1659004323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WOODLAND ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554373",
            "telephone_number": "717-988-8020",
            "fax_number": "717-221-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WOODLAND ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554373",
            "telephone_number": "717-988-8020",
            "fax_number": "717-221-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUILINO",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063729",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaquilino227890@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "950 Woodland St",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170554373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.